DR. NICOLE SUZETTE KIMMES (NPI# 1285618413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285618413 |
| Entity Type | Individual |
| Full Name | DR. NICOLE SUZETTE KIMMES |
| Credential | DDS |
| Practice Address |
716 Stevens Ave Portland ME 04103 |
| Mailing Address |
716 Stevens Ave Portland ME 04103-2693 |
| Practice Telephone | 2072214739 |
| Practice Fax Number | 2075231915 |
| Mailing Telephone | 2072214739 |
| Mailing Fax Number | 2075231915 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN4481 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS PROVIDER ID | 7997 | 01 |
| NE | 47071268413 | 05 |
| Street Address |
716 STEVENS AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245990 | Lee Edward Niemeyer | Dentist | 716 Stevens Ave, Portland, ME 04103-2656 | 2005-06-20 |
| 1710505433 | Colin Hulst | Registered Nurse | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-07-09 |
| 1346864279 | Lievin Umba | Physician Assistant | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-06 |
| 1184248312 | Wendy Letchworth | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-03 |
| 1619591930 | Geoffrey Kamau Wahome | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-02 |
| 1891319398 | Jordan Ray Kelley | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-06-01 |
| 1073137659 | Jaclyn Elizabeth Masters | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-30 |
| 1508480260 | Carla D'amour | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-28 |
| 1003439779 | Matthew Scott Austin | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-28 |
| 1598389256 | Novisi Abba | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
| 1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
| 1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
| 1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
| 1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
| 1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
| 1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
| 1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
| 1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.